National Provider Identifier [NPI]: |
1013950559 |
Last Name Of The Provider |
BAKER |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6700 W 9TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791061729 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
161 |
Number Of Services |
13158 |
Number Of Medicare Beneficiaries |
1593 |
Total Submitted Charge Amount |
1268083.86 |
Total Medicare Allowed Amount |
683532.87 |
Total Medicare Payment Amount |
533072.61 |
Total Medicare Standardized Payment Amount |
561968.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
755 |
Number Of Medicare Beneficiaries With Drug Services |
532 |
Total Drug Submitted ChargeAmount |
107660.6 |
Total Drug Medicare AllowedAmount |
75086.16 |
Total Drug Medicare PaymentAmount |
72747.37 |
Total Drug Medicare Standardized Payment Amount |
72747.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
151 |
Number Of Medical Services |
12403 |
Number Of Medicare Beneficiaries With Medical Services |
1593 |
Total Medical Submitted Charge Amount |
1160423.26 |
Total Medical Medicare Allowed Amount |
608446.71 |
Total Medical Medicare Payment Amount |
460325.24 |
Total Medical Medicare Standardized Payment Amount |
489220.84 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
628 |
Number Of Beneficiaries Age 75 to 84 |
682 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
883 |
Number Of Male Beneficiaries |
710 |
Number Of Non Hispanic White Beneficiaries |
1496 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1477 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.529 |